The impact of intraoperative antiseptic nasal irrigation during endoscopic sinus surgery on early postoperative results.

Abstract

Introduction: The main objective of the study was to determine the validity of intraoperative antiseptic treatment during endoscopic sinus surgery and the impact of such treatment on the postoperative outcomes. Material and Methods: Fifty-five patients with chronic sinusitis, qualified for surgical treatment were enrolled into the trial. It was designed as prospective, randomized, blinded study. The surgical procedures were performed on both sides, in the same scope. In the next stage, after opening, one side was flushed with saline solution, and the other side with octenidine solution. Results: The analysis showed a statistically significant reduction in postoperative crusting measured using the Lund-Kennedy scale between the test and control groups. Intraoperative lavage of the paranasal sinuses in both control and study groups showed an effect on the decreasing total number of positive postoperative cultures relative to preoperative. Discussion: Study showed a beneficial effect of the intervention consisting in rinsing with Octenisept on the reduction of crusting in the postoperative assessment.